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Home My WebLink About2003-P07033 - minor alterations } ' PERMIT GITY OF ORONO Permit Number: 2750 Kelley Parkway- PO Box 66 P07033 Crystal Bay, Minnesota 55323 Permit Type: MinorAlterations (952) 249-4600 Date Issued: iii2ii2oo3 SITE ADDRESS: 3516 Iry Pl WAYZATA,MN 55391 PID: 20-117-23-42-0022 DESCRIPTION: Proposed Use: Residenrial Permit Class: Building Census Code O/S-Building Pernut Type: Minor Alterations Pernut Sub-type(s): W�dows DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PernutFee: $ 26.55 Valuation• $ 600.00 State Surcharge Fee: $ 1.00 TOTAL FEE: $ 27.55 APPLICANT: Owner/Self OWNER: James&Sherry white MN 3516 Ivy Pl Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. r.. � ��.--- - �,�,.1 �� APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Couies: 1-File(SiQnitures Requiredl, 1-Avnlicant 1-Monthlv Revorts, 1-Assessin¢, 1-Finance Page 1 r� � Total Fee: $ Date Received: Entered By: Permit #: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (p/ease prrnt al/information) ----------------------------------------------------- ----------------------------------------------------------- THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR JOB SITE ADDRESS: 3��` �v`/ {'�L,q.cE ZiP. S'.5 �`� / NAME OF OWNER: �� .t��i� PHONE: (home)Q.�z` �l7� '��3,� (work) �o�Z -G 7 3 — S/ 70 MAILING ADDRESS: 3 S/6 ��Y �L.�ce CITY• l�y�4 r� ZIP• Ss3 q/ CONTRACTOR: scl -� PHONE: CONTACT PERSON: MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Addition Accessory Structure -------- Move Remodel/Alteration ?� Land Alteration PROPOSED WORK (describein detai�j: R�++�� Z �°�cM �"��'�' �h�tJ � �e.p(�ce 1Y�'M'h 2- l�.h.►}J STORIES: SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �oo , o� I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATUR . �i�. W{.,�.' DATE: "�z��03 NOTE.� Pa�ade ofHomes events require separate permit approva/byPo/ice Department and City Counci/60 days prior to the event. Non permitted events wiJ/not be a//owed. . . �� . Sec.I 3.04 RIGHTS OF SUBJECTS OF DATA Subd. I. Type of data The rights of individual on whom the data is stored or to be stored shall be as set forth in this sedion. Subd. 2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself shall be informed of: (a) the purpose and intended use of the requested data within the collecting state agency, politicai subdivision, or statewide system; (b) whether he may refuse or is legally required to supply the requested data; (c) any known consequence arising from his supplying or refusing to supply private or confidential data; and (d) the identity of other persons or entities authorized by state or federal law to receive the data. This requirement shall not apply when an individual is asked to supply investigative data,pursuant to section 13.82,subdivision 5,to a law enforcement officer. The commissioner of revenue mav place the notice reauired under this subdivision in the individual income tax or qroperlv tax refund instructions instead of on those forms. Subd. 3. Access to data by individual. Upon request to a responsible authority,an individual shaii be informed whether he is the subject of stored data on individuals,and whether it is classified as public,private or confidential. Upon his further request,an individual who is the subject of stored private or public data on individuals shall be shown the data without any charge to him and, if he desires, shall be informed of the content and meaning of that data. ARer an individual has been shown the private data and informed of its meaning, the data need not be disclosed to him for six months thereaNer unless a dispute or action pursuant to this section is pending or additional data on the individual has been collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies. The responsible authority shall compiy immediately, if possible, with any request made pursuant to this subdivision, or within five days of the date of the request, excluding Saturdays, Sundays and legal holidays, if immediate compliance is not possible. If he cannot comply with the request within that time, he shall so inform the individual, and may have an additional five days within which to comply with the request, excluding Saturdays, Sundays and legal holidays. Subd. 4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private data concerning himself. To exercise this right, an individual shall notify in writing the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either: (a) correct the data found to be inaccurate or incompiete and attempt to notify past recipients of inaccurate or incomplete data, including recipients named by the individual; or (b) notify the individual that he believes the data to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data. The determination of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating to contested cases. DATA PRNACY ADVISORY In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your request for a permit or license from the City of Orono or any of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish will be used to determine your qualification for the permit or license requested. 2. You may refuse to supply data, but refusal may require that the City deny the permit or license. 3. The information may be shared with other local, state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license requires Council action to approve, some information may become public. 5. You have certain rights under M.S. 13.04(available upon request)to review private data on yourself. 6. Your full name is required to process this application or permit. First Middle Last Address City State Zip Phone I understand my rights as stated above. .Nr.l.tJ�v�, a� Signat e ✓ ATE TIME CITY OF ORONO CALLED IN 8 5� INSPECTION NOTICE SCHEDULED G��7�i• PERMIT NO. � conn ED !� q ADDRESS -�' , OWNER CONTR. ' TELEPHONENO. �I�`1�- �Z7� � DESCRIPTION ,��h�a� � 01 FOOT 1 MECHANICAL RI 16 WELL TEST PUMP Q FRAMING 11 MECHANICAL FINAL 18 EXCAVIGRADING/FILLING y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS Z 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Q 05 FINAL 13 METER SETITURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK•UP O6 PROGRESS � 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT = 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBING FINAL 23 SEPTIC FINAL Q OWNERICONTRACTOR TO MEET YOU:_YES_NO Z y COMMENTS: � W 4, � J O � � O � W � Q � Z W � W � � d �ORKSATISFACTORY:PROCEED ❑PROJECTCOMPLETE W � �CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION' TEMPORARY � BEFOREC01/ERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-7357 OwnedContra ite: Inspector. White CopyAnspector's File Canary Copy/SiM Notit� L'/ D,qrE TIME CITY OF ORONO CALLED IN ��f�� INSPECTION NOTICE�� SCHEDULED �-/ � -^`�c� PERMIT NO. COMPLETED N ADDRESS 3�� i_ �� OWNER /�1�� S CONTR. ��- TELEPHONE NO. ? a �' �� DESCRIPTION �1 � �� 01 FOOTING 11 MECHANICAL RI 16 WELL TEST PUMP Q 02 FRAMING 11 MECHANICAL FINAL 18 EXCAV/GRADINGIFILLING y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 19 LAKESHORFJWETLANDS Q 04 WALL BD. 12 WATER HOOK-UP 34 TREE REMOVAL Z Q 05 FINAL 13 METER SET/TURN ON 17 SITE INSPECTION � 07 DEMO—SITE 14 SEWER HOOK-UP O6 PROGRESS J 07 DEMO—FINAL 27 SEPTIC MAINT. 21 COMPLAINT Q ? 09 PLUMBING RI 15 SEPTIC INSTALL. 22 FOLLOW-UP J 10 PLUMBiNG FINAL 23 SEPTIC FINAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W C � J O � � O � W � Q � Z W � W � � � WORK SATISFACTORY:PROCEED PROJECT COMPLETE W � ❑CORRECT WORK 8 PROCEED r- ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR ❑ CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance.473-73�J7 OwnerlContractor on : �� Inspector. � White Copyllnspector's File Canary CopylSite Notice